ICMD PA
NPI 1962091520
Internal Medicine in Summerfield, FL
About Icmd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICMD PA (NPI 1962091520) is a healthcare organization registered as an internal medicine in Summerfield, Florida and active in the NPI registry since January 2021. The organization maintains 2 additional practice locations and lists Fariborz Delbakhsh, Owner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Icmd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Icmd PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Icmd PA's NPI number?
The NPI number for Icmd PA is 1962091520. It was assigned to this organization in the NPPES registry on January 18, 2021.
Where is Icmd PA located?
Icmd PA is located at 10770 SE 173rd St, Summerfield, FL 34491. The listed phone number is (352) 455-2026.
What is Icmd PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Icmd PA enrolled in Medicare?
Yes. Icmd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icmd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Icmd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Icmd PA was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Icmd Pa · NPI 1962091520
Internal Medicine organization in Summerfield, Florida. Organization record, active in the CMS NPPES registry since January 18, 2021.
## Identity
- **NPI:** 1962091520 (Entity type: Organization)
- **Enumerated:** January 18, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Fariborz Delbakhsh, OWNER, PRESIDENT
## Practice location
- **Address:** 10770 SE 173RD ST, Summerfield, FL 34491-6851
- **Phone:** (352) 455-2026 · **Fax:** (352) 748-2700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962091520) · Data from the CMS NPPES public registry.